{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T16:09:22Z","timestamp":1780502962881,"version":"3.54.1"},"reference-count":51,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":34,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003388","name":"French Ministry of Europe and Foreign Affairs to Prof Sylvain Brisse, within the Fonds de solidarit\u00e9 pour les projets innovants (FSPI) SARA project","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003388","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Escherichia coli (E. coli) and Klebsiella pneumoniae (K. pneumoniae) are leading causes of urinary tract infections (UTIs). In Morocco, carbapenem resistance data are scarce and largely hospital-based. We investigated carbapenem-resistant E. coli and K. pneumoniae isolates from community settings in Morocco.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>In this prospective multicentre study, we analysed 1296 non-duplicate E. coli and K. pneumoniae isolates recovered from outpatients with community-acquired UTIs (CA-UTIs) across 12 Moroccan cities (January 2022\u2013December 2023). Antimicrobial susceptibility testing was performed following EUCAST guidelines. All phenotypically carbapenem-resistant isolates (n\u200a=\u200a54, 13 E. coli, et 41 K. pneumoniae) were subjected to whole-genome sequencing (WGS) using Illumina technology to identify resistance determinants, mobile genetic elements and clonal lineages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>E. coli predominated [n\u200a=\u200a1000, 77.2% (95% CI: 74.8\u201379.4)] while K. pneumoniae accounted for 22.8% [n\u200a=\u200a296 (95% CI: 20.6\u201325.2)]. Carbapenem resistance rates were significantly higher in K. pneumoniae than in E. coli [ertapenem: 21.1% (95% CI: 16.6\u201326.4) versus 2.4% (95% CI: 1.6\u20133.6); imipenem: 15.0% (CI: 11.2\u201319.6) versus 1.9% (95% CI: 1.2\u20133.0)].<\/jats:p>\n                    <jats:p>WGS revealed a high clonal diversity [eight sequence types (ST) in E. coli and 12 in K. pneumonnie]. Carbapenemase-mediated resistance was predominant in K. pneumoniae (notably blaNDM-14, blaNDM-7, blaNDM-5 and blaOXA-48). By contrast, E. coli primarily exhibited efflux and permeability defect mechanisms with sporadic carbapenemase-encoding gene carriage (blaNDM or blaOXA-48). The K. pneumoniae international high-risk clone ST147 producing NDM-14 was dominant (n\u200a=\u200a23 isolates), followed by ST307 (n\u200a=\u200a4), whereas ST410 was the most frequently identified among E. coli (n\u200a=\u200a5).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Carbapenem-resistant E. coli and K. pneumoniae in community UTIs in Morocco, are driven by multiple clones. These findings underscore the urgent need to expand community-based AMR surveillance beyond hospital settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jacamr\/dlag085","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T11:43:01Z","timestamp":1778067781000},"source":"Crossref","is-referenced-by-count":0,"title":["Carbapenem resistance in community-acquired urinary tract infections caused by\n                    <i>Klebsiella pneumoniae<\/i>\n                    and\n                    <i>Escherichia coli<\/i>\n                    in Morocco: a multicentre study (January 2022\u2013December 2023)"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6216-8069","authenticated-orcid":false,"given":"Aboubakr","family":"Khazaz","sequence":"first","affiliation":[{"name":"Microbiology and Antimicrobial Agents Research Team (Laboratory of Plant Biotechnology, Ecology and Ecosystem Valorization), Department of 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